September 24, :00 4:30pm EDT

Transcription

1 September 24, :00 4:30pm EDT

2 Today s Agenda 1. Welcome & Introductions 2. AMGA/AMGF Overview 3. Advisors and Participating Groups 4. Heart Failure (HF) Collaborative Overview 5. Measurement Specifications Overview 6. Anceta Overview 7. Next Steps 8. Questions

3 HF Collaborative Team AMGF Jerry Penso, M.D., M.B.A., Chief Quality & Medical Officer, AMGA & President of AMGF Danielle Casanova, M.B.A., Director, Population Health Initiatives Earlean Chambers, R.N., M.S., Assistant Director, Population Health Initiatives Erin Leaver-Schmidt, M.P.H., Program Manager, Population Health Initiatives Senait Sunny Temesgen, Program Coordinator, Population Health Initiatives Anceta John Cuddeback, M.D., Ph.D., Chief Medical Informatics Officer, Anceta Vaishali Joshi, Senior Data Analyst, Anceta Jill Powelson, R.N., M.B.A., M.P.H., Director of Clinical Translation, Anceta

4 HF Collaborative Support Preventive Cardiovascular Nurses Association (PCNA)

5 AMGA & AMGF Overview

6 American Medical Group Association (AMGA) Supports its members in enhancing population health and care for patients through integrated systems of care.

7 By the Numbers 170,000 physicians Approximately 440 Medical Group Members Deliver health care to 120 million Average group size is 348 MDs Median group size is 140 MDs AMGA medical groups treat approximately one in three Americans

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9 AMGA Members 9

10 AMGF Overview AMGF enables medical groups and other organized systems of care to consistently improve health and health care. AMGF is AMGA s 501 (c)(3) affiliate

11 AMGF s Programs Acclaim Award Chronic Care Challenge Best Practices Collaboratives

12 Best Practices In Managing Patients with Heart Failure Collaborative Overview

13 Best Practices Collaboratives Designed specifically for AMGA members striving to improve the care of patients with heart failure 1-2 year shared learning program Opportunities: Evidence of best practices Community of knowledge Vehicle to leverage key learnings and disseminate best practices to all AMGA members and external stakeholders

14 Advisory Committee Robert W. Brenner, MD, MMM SVP and Chief Physician Executive, Valley Health System Mae Centeno, DNP, RN, CCNS, ACNS VP, Chronic Care Continuum, Institute for Chronic Disease and Care Redesign Baylor Scott & White Health Leonard Fromer, MD Executive Medical Director Group Practice Forum Kim Newlin, RN, CNS, NP-C Director, Preventive Cardiovascular Nurses Association (PCNA) Ravi Ramani, MD Assistant Professor of Medicine, University of Pittsburgh Director, UPMC Integrated Heart Failure Randall C. Starling, M.D., M.P.H. Head, Section of Heart Failure and Cardiac Transplant Medicine Vice Chairman, Department of Cardiovascular Medicine Cleveland Clinic

15 Collaborative Participants Centura Health-Penrose Cleveland Clinic Foundation Cornerstone Health Care Kelsey-Seybold Clinic Mercy Clinic East Communities Mount Kisco Medical Group NorthShore University HealthSystem OhioHealth MedCentral Premier Medical Associates PriMed Physicians Springfield Clinic Summit Medical Group TriHealth Health Institute University of Utah Medical Group UPMC USMD Valley Physician Services, Inc. Watson Clinic

16 How does the collaborative work? Host orientation webinar & kick-off meeting Convene monthly webinars for networking and sharing Spread adoption of best practices Provide additional support: Site visits Coaching Website Listserv Action Plan Getting Started Checklists Submit and analyze data on regular basis Host Wrap-up Meeting Develop individual Best Practices Case Studies

17 Getting Started Checklist Assist you and your team with preparing and getting organized for the collaborative. Earlean Chambers from AMGF will reach out to participating groups

18 HF Collaborative Timeline September - October Measurement Webinar September 24 th Kick-off Meeting Registration and Hotel Reservations Due October 7 th Orientation Webinar October 8 th Baseline Data Due October 26 th November Kick-off Meeting November th Action Plan Due November 18 th December 1 st Monthly webinar December 3rd, 2:00pm 3:30pm EST (1 st Thursday of every month from 2:00pm 3:30pm EST.) January October 2016 Monthly Webinars Data Reporting Action Plans Site Visits & Outreach Calls November 2016 Wrap-up Meeting (Date and location TBD)

19 Contacts AMGF Danielle Casanova Jerry Penso Erin Leaver-Schmidt Sunny Temesgen Earlean Chambers AMGA s Anceta Collaborative John Cuddeback jcuddeback@amga.org Jill Powelson jpowelson@amga.org Vaishali Joshi vjoshi@amga.org

20 Comparative Clinical Analytics: Heart Failure September 2015 Copyright 2015 Anceta LLC and OptumInsight, Inc. All rights reserved.

21 Organizations American Medical Group Association AMGA subsidiary, created to extend AMGA s model for shared learning, based on comparative clinical analytics Anceta s partner, a clinical informatics company based in Boston Optum Analytics Data factory extract and integrate clinical and administrative data, across the continuum of care Clinical analytics platform for provider organizations: Optum One Subscription analytics for life sciences: NorthStar Center for collaborative research, innovation, and clinical translation all stakeholders Copyright 2015 Anceta LLC and OptumInsight, Inc. All rights reserved. 21

22 Cross-Continuum Clinical & Claims Analytic Platform Aggregate data across the continuum Clean, normalize and validate data Transform data into insight Make insights actionable Clinical claims & scheduling data Source system agnostic Automated extraction Personcentric MPI Validation Mapping NLP Normalization Shared report library Predictive modeling Benchmarking Disease models AMGA Research Shared Learning Translation Copyright 2015 OptumInsight Inc. All rights reserved. 22

23 Anceta Participants 23

24 Current Anceta Participants AppleCare Medical Group Artesia, CA Aurora Health Care Milwaukee, WI Baylor Scott & White Quality Alliance Dallas, TX Billings Clinic Billings, MT Brown & Toland Physicians San Francisco, CA Carolinas HealthCare System Charlotte, NC Cleveland Clinic Cleveland, OH Colorado Springs Health Partners Colorado Springs, CO Cornerstone Health Care High Point, NC Community Physician Network Indianapolis, IN The Everett Clinic Everett, WA Florida Medical Clinic Zephyrhills, FL HealthEast St. Paul, MN Henry Ford Health System Detroit, MI Holston Medical Group Kingsport, TN The Iowa Clinic West Des Moines, IA Lehigh Valley Health Network Allentown, PA Lexington Clinic Lexington, KY Mayo Clinic Rochester, MN Mercy Health System St. Louis, MO Monarch HealthCare Irvine, CA Mount Kisco Medical Group Mount Kisco, NY NAMM California Ontario, CA North Memorial Health Care Robbinsdale, MN Piedmont HealthCare Statesville, NC Premier Medical Associates Pittsburgh, PA Riverside Health System Newport News, VA Scripps Health San Diego, CA Sentara Healthcare Norfolk, VA Southwest Medical Associates Las Vegas, NV Spectrum Health Grand Rapids, MI Springfield Clinic Springfield, IL SSM Health Care St. Louis, MO SwedishAmerican Health System Rockford, IL UMass Memorial Health Care Worcester, MA UnityPoint Health West Des Moines, IA University of Iowa Health Alliance Des Moines, IA Watson Clinic Lakeland, FL WellMed San Antonio, TX Wilmington Health Wilmington, NC Copyright 2015 Anceta LLC and OptumInsight Inc. All rights reserved. 24

25 AMGA s Anceta Collaborative Once you move away from the push of information to the pull of learning, you liberate creative powers in your people. The New Social Learning Tony Bingham and Marcia Conner Ambulatory setting longitudinal records for more than 20 million active patients Comparative clinical data, mapped and normalized for apples-to-apples comparisons Humedica defines variables for point-and-click queries on questions relevant to population health for hands-on use by quality and clinical leaders Routine reports that are credible to clinicians Interactive exploratory analysis Registry module provides daily updates for key variables Risk Analytics module provides Optum s industry-leading tools for insight into adjudicated claims data on at-risk lives Diabetes Hypertension Dyslipidemia Coronary Artery Disease Heart Failure Atrial Fibrillation COPD Asthma All Active Patients Copyright 2015 Anceta LLC and OptumInsight Inc. All rights reserved. 25

26 Measure # 1 Proportion of HF patients on ACE Inhibitor or ARB Therapy with last Ejection Fraction(EF) result < 40% 30,121 patients across 27 medical groups, with at least 2 E&M & last EF < 40% Overall Range: 59% (TJ) to 89% (ZP) 26

27 Measure # 2 Proportion of HF patients on Alpha Beta Blockers with last Ejection Fraction(EF) result < 40% 30,121 patients across 27 medical groups, with at least 2 E&M & last EF < 40% Overall Range: 47% (ZP) to 92% (DQ) 27